Kiwiology

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Kiwiology last won the day on November 25 2013

Kiwiology had the most liked content!

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  1. Kiwiology

    Patient dies during discharge

    Fuckwits ... absolute fuckwits. I disclaim little knowledge of tracheostomy care or maintenance but even me, who is dumb as a box of rocks, knows better not to tape the thing. I wonder why they taped it to begin with and what they were trying to achieve? I can understand if they were administering positive pressure ventilation for example then occluding the trach would be beneficial to create a closed ventilation circuit but in the absence of this .... WHAT THE HELL MAN? Looks like this might be a legit win of the lawsuit lottery.
  2. Kiwiology

    UK transfer to USA

    Because there is no mandate for higher education for a US Paramedic they are considered third preference for a third preference work visa; basically considered an unskilled (or "other") worker. So, I hope you're not thinking being a UK Paramedic will allow you to get a work visa because it won't. You must also consider that what you see on American TV shows like Chicago Fire is not reality. Having worked and traveled extensively in the USA my advice to you is to visit on vacation and stay put living in the UK; even if it rains alot
  3. Kiwiology

    ECG for discussion

    Junctional rhythm about 75/min Regular Axis normal No acute ST or T wave changes Don't see any pathologic Q waves Give her two hardenupacetomol and leave her at home.
  4. Kiwiology

    When it sucks to use sux

    Nah man it's all good. If you can use your cellular telephone to video the lecture that'd be pretty badass.
  5. Kiwiology

    When it sucks to use sux

    Just because Mark Fitzgerald et al say something doesn't make it right or applicable in every situation; personal opinion only but I don't really think IFS is appropriate. RSI or go home. We have significantly increased our dosing of fentanyl and midazolam in RSI such that a standard patient gets 150 mcg of fentanyl and 6 mg of midazolam. Ketamine (100 mg) is used for patients who have shock. I would much prefer ketamine for everybody; midazolam is a poor choice of anaesthetic and no anaesthetist in their daily practice would use it for induction routinely. I should be seeing the Medical Director next week so I might ask why they have chosen this.
  6. Kiwiology

    When it sucks to use sux

    Bah! Flimshaw! Balance of risk vs benefit is in favour of not using suxamethonium. I'd use vec or roc, I forget which it is you carry but I'd just use that. IFS is IMO bad ju ju so I wouldn't be using that.
  7. Kiwiology

    I'm a nurse, I'm a nurse, I'm here to help

    Could have been worse, could have been at Billy Bob's place out on County Road 309 down past the Glumpkin residence. That would have meant at least 3 volunteer "First Responders" showed up in their cars/pickup trucks each with 100 lb jump bags, the local volunteer Fire Department would have also come plus an ambulance or two, and because "it looked real bad" somebody would have responded a helicopter ... and all of this is not including the bevy of neighbours who would have come to help out, one of whom would have been a nursing aid and wanted to do an immediate cricothyrotomy. Now if you'll excuse me, I have to go ensure that County Road 309 has been closed, I hear the helicopter getting close and they are always so fussy about having a suitable area to land.
  8. Kiwiology

    From Poland to UK (Paramedic or EMT)

    Hi mate, you would have to go down the International route with HCPC which shouldn't be too hard plus you have an EU passport so no visa worries, but, do you really want to work in the UK? It rains a lot and they are a tad limited (although small moves are being made to address that) ... I would rather stay on the continent and work in one of the Doctor/Paramedic systems. Now, can I have some kielbasa stat!?
  9. Kiwiology

    Good ways to kill patients

    All I can say is why do you think vecuronium vials have a red cap and ceftriaxone has a green one? .... (noting ceftriaxone in a vial with a red cap can also be bought)
  10. Kiwiology

    Good ways to kill patients

    Calling ERDoc for medical control Getting vecuronium and ceftriaxone confused
  11. Kiwiology

    More on backboards and spinal immobilization

    Initial consensus statement on immobilisation by the Faculty of Prehospital Care of the Royal College of Surgeons (Ed.) http://www.fphc.co.uk/content/Portals/0/Documents/2013-12%20Spinal%20Consensus%20COMPLETE.pdf
  12. Kiwiology

    Search warrants and poss unethical searches

    If you come fly on Kiwi Air there is no security for our plane with some bullet holes in the side, a Flight Attendant named Manuel Jose Luis Ortega who speaks no English and a bunch of illegal ammo and coke in the back flies into airports not served by TSA ... and by airports I mean dirt strips where a bunch of guys in a Tahoe are waiting. On the up side we operate a dual engine, dual pilot, all IFR capable fleet equipped with EGPWS, TCAS, Cat III ILS capability and all the fancy bits. I keep a .44 Magnum N frame under my seat so I guess we have some security .. it also serves as your in flight meal if I don't like you, and probably a bit of lead poisoning too. Reservations are now open, call 1-888-FLY-KIWI and speak to our helpful rep Mariano who habla un poco Ingles. Note: Kiwi Air is not currently certified by the FAA under 14 CFR 121 nor are its pilots, dispatchers, mechanics or any other staff. Kiwi Air is a wholly owned subsidiary of Upidedownland Aviation Inc, a Delaware corporation and is currently under investigation by the Justice Department. Checked bag not included.
  13. Kiwiology

    Intermittent Atrial Fib

    For somebody with HTN a BP of 136 is probably a bit low especially considering she is beta blocked. If she has no compromise then on a 30 minute trip to the hospital I do not see the point of getting all carried away and doing things that are not necessary. For now that's my story and I am sticking to it. What is her temperature?
  14. Kiwiology

    Intermittent Atrial Fib

    Give her some salbutamol and take her to the hospital
  15. Kiwiology

    Books about EMS

    Don't read the books, don't watch the TV shows ... nor do I have a hospital crash cart in my car and never have I shopped at Galls. Man I am just no fun huh? Oh, and MAST pants and terbutilyne aren't so bad, there was a time when if you were having other than a cardiac emergency and the Paramedics came they just looked at you and went "um .... yeah". Hopefully Emergentologist's crushing medical school debt has driven the enthusiasm out of him ....